The Senior Alliance

Incontinence - Caregiving Topics A-Z

Incontinence

Incontinence can be embarrassing and limit life enjoyment, but nearly 40% of older adults (65+) experience urinary incontinence. Often, it can be managed.

Causes of Incontinence

Incontinence can have many causes. As we age, bladder and pelvic floor muscles weaken. Other factors include urinary tract infections, constipation, enlarged prostate, and complications from conditions like diabetes or arthritis.

Types of Incontinence

  • Stress: leakage from pressure on the bladder (e.g., sneezing or exercise)
  • Urge: sudden, intense need to urinate, common with conditions like diabetes
  • Overflow: small leaks due to an always-full bladder, often from prostate issues
  • Functional: not reaching the bathroom in time, due to mobility challenges

Caregiver Tips

Choose easy-to-wear clothing to help your loved one reach the bathroom in time or manage cleanup independently. Avoid things like caffeinated drinks or spicy foods that may worsen incontinence. Show empathy when accidents occur.

Control Training

Create a manageable toileting schedule to prevent accidents, and gradually extend time between bathroom visits over time. Encourage your loved one to manage urges with breathing exercises, staying still, or distractions.

New Approaches to Incontinence Management

There are ways to manage incontinence:
  • Biofeedback therapy exercises help control bladder muscles.
  • Pelvic floor exercises strengthen urinary control muscles.
  • Advanced absorbent products with moisture-wicking technology and odor control increase comfort.
  • Emerging devices track bladder activity with real-time feedback.
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